,Rates Effective 7/1/2023,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
,Press Control + F to Search,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
,CODE,DESCRIPTION,,,,,,,,,,,,,,,,,,,,,,,,,,,,
,N/A *,Services not provided by ÃÈÂÜÉç,,,,,,,,,,,,,,,,,,,,,,,,,,,,
,NC **,Service Not Negotiated,,,,,,,,,,,,,,,,,,,,,,,,,,,,
,PFS ***,Public Fee Schedule - Pricing not negotiated by ÃÈÂÜÉç Psychiatric and available at Insurance Carrier's website,,,,,,,,,,,,,,,,,,,,,,,,,,,,
,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Location,Type,Provider,Service Description,CPT_HCPCS,Standard Charge,Cash-Pay,Min Negotiated,Max Negotiated,AETNA,CAPITAL BLUE CROSS,CCBH,DAUPHIN COUNTY,GATEWAY,GEISINGER,HIGHMARK,HIGHMARK MEDICARE,MAGELLAN,MEDICARE,MEDICAID,MHNET,NPPN,PERFORMCARE,PPHN,QUEST,THREE RIVERS NETWORK,TRICARE,UNITED BEHAVIORAL HEALTH,UNITY,UPMC,VETERANS ADMINISTRATION
PPI Third Street 4 Memorial,Inpatient,Facility,Psychiatric Adult Inpatient Room and Board,0124,"$ 2,138.00","$ 1,003.67",$ 695.00,"$ 1,710.40","$ 1,274.00","$ 1,559.00",$ 800.00,$ 968.68,$ 992.74,$ 877.00,"$ 1,523.00","$ 1,145.00",$ 840.00,$ 946.70,$ 968.68,"$ 1,550.85","$ 1,710.40","$ 1,045.47","$ 1,110.00",$ 750.00,"$ 1,710.40",$ 695.00,$ 955.00,"$ 1,110.00","$ 1,200.00",$ 946.70
PPI Third Street 5 Memorial,Inpatient,Facility,Psychiatric Adult Inpatient Room and Board,0124,"$ 2,138.00","$ 1,003.67",$ 695.00,"$ 1,710.40","$ 1,274.00","$ 1,559.00",$ 800.00,$ 968.68,$ 992.74,$ 877.00,"$ 1,523.00","$ 1,145.00",$ 840.00,$ 946.70,$ 968.68,"$ 1,550.85","$ 1,710.40","$ 1,045.47","$ 1,110.00",$ 750.00,"$ 1,710.40",$ 695.00,$ 955.00,"$ 1,110.00","$ 1,200.00",$ 946.70
"PPI Third Street 6
Memorial",Inpatient,Facility,Psychiatric Adult Inpatient Room and Board,0124,"$ 2,138.00","$ 1,003.67",$ 695.00,"$ 1,710.40","$ 1,274.00","$ 1,559.00",$ 800.00,$ 968.68,$ 992.74,$ 877.00,"$ 1,523.00","$ 1,145.00",$ 840.00,$ 946.70,$ 968.68,"$ 1,550.85","$ 1,710.40","$ 1,045.47","$ 1,110.00",$ 750.00,"$ 1,710.40",$ 695.00,$ 955.00,"$ 1,110.00","$ 1,200.00",$ 946.70
"PPI Third Street 4
Landis",Inpatient,Facility,Psychiatric Child Inpatient Room and Board,0124,"$ 2,138.00","$ 1,003.67",$ 695.00,"$ 1,710.40","$ 1,274.00","$ 1,559.00",$ 800.00,$ 968.68,$ 992.74,$ 877.00,"$ 1,523.00","$ 1,145.00",$ 840.00,$ 946.70,$ 968.68,"$ 1,550.85","$ 1,710.40","$ 1,045.47","$ 1,110.00",$ 750.00,"$ 1,710.40",$ 695.00,$ 955.00,"$ 1,110.00","$ 1,200.00",$ 946.70
PPI Third Street 5 Landis,Inpatient,Facility,Psychiatric Adolescent Inpatient Room and Board,0124,"$ 2,138.00","$ 1,003.67",$ 695.00,"$ 1,710.40","$ 1,274.00","$ 1,559.00",$ 800.00,$ 968.68,$ 992.74,$ 877.00,"$ 1,523.00","$ 1,145.00",$ 840.00,$ 946.70,$ 968.68,"$ 1,550.85","$ 1,710.40","$ 1,045.47","$ 1,110.00",$ 750.00,"$ 1,710.40",$ 695.00,$ 955.00,"$ 1,110.00","$ 1,200.00",$ 946.70
PPI Third Street ECT,Inpatient,Facility,Electroconvulsive Therapy (ECT) Inpatient,0901,"$ 2,520.00",$ 497.00,$ 131.37,"$ 2,019.00",NC **,"$ 2,019.00",NC **,NC **,$ 500.00,$ 131.37,NC **,NC **,NC **,$ 471.74,NC **,$ 719.00,NC **,$ 550.00,NC **,$ 450.00,"$ 2,016.00",$ 471.74,$ 955.00,NC **,NC **,$ 471.74
PPI Third Street ECT,Outpatient,Facility,Electroconvulsive Therapy (ECT) Outpatient,0901,"$ 2,520.00",$ 497.00,$ 131.37,"$ 2,019.00",$ 745.81,"$ 2,019.00",$              -,$                                         -,$ 500.00,$ 131.37,"$ 1,210.00",$ 533.00,$ 520.00,$ 471.74,NC **,$ 719.00,"$ 2,016.00",$ 550.00,NC **,$ 450.00,"$ 2,016.00",$ 471.74,$ 955.00,NC **,NC **,$ 471.74
PPI Third Street,Partial,Facility,Child/Adolescent Full Day,0913,$ 677.00,$ 575.45,$ 84.00,$ 546.00,$ 446.00,$ 546.00,$ 183.60,$ 180.96,NC **,$ 275.00,$ 523.00,NC **,$ 250.00,NC **,$ 84.00,$ 450.00,$ 541.60,$ 177.54,NC **,$ 200.00,$ 541.60,$ 211.62,$ 318.00,NC **,$ 90.00,NC **
PPI Third Street,Partial,Facility,Child/Adolescent Half Day,0913,$ 439.00,$ 373.15,$ 42.00,$ 546.00,NC **,$ 546.00,$ 91.80,$ 90.48,NC **,$ 275.00,NC **,NC **,NC **,NC **,$ 42.00,$ 225.00,NC **,$ 88.77,NC **,NC **,$ 318.40,NC **,$ 318.00,NC **,$ 45.00,NC **
PPI Third Street,Partial,Facility,Adult Partial Full Day,0913,$ 677.00,$ 575.45,$ 84.00,$ 546.00,$ 420.00,$ 546.00,$ 183.60,$ 180.96,$ 300.00,$ 275.00,$ 493.00,$ 301.00,$ 250.00,$ 331.92,$ 84.00,$ 400.00,$ 541.50,$ 177.54,NC **,$ 200.00,$ 541.60,$ 211.62,$ 345.00,NC **,$ 90.00,$ 331.92
PPI Third Street,Partial,Facility,Adult Partial Half Day,0913,$ 476.00,$ 404.60,$ 42.00,$ 546.00,NC **,$ 546.00,$ 91.80,$ 90.48,$ 150.00,$ 275.00,NC **,NC **,NC **,NC **,$ 42.00,$ 200.00,NC **,$ 88.77,NC **,NC **,$ 344.80,NC **,$ 345.00,NC **,$ 45.00,NC **
PPI Third Street,IOP,Facility,Intensive Outpatient Therapy,90853,$ 309.00,$ 262.65,$ 27.59,$ 305.00,$ 210.00,$ 305.00,$ 72.00,NC **,$ 27.59,$ 275.00,$ 258.00,$ 258.00,PFS ***,$ 27.59,$ 28.00,$ 275.00,$ 185.00,$ 54.32,NC **,$ 120.00,$ 228.00,$ 27.59,$ 185.00,NC **,$ 120.00,$ 27.59
PPI Third Street,Outpatient,LCSW,Psychotherapy Evaluation,90791,$ 220.00,$ 187.00,$ 146.40,$ 146.40,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,LSW,Psychotherapy Evaluation,90791,$ 220.00,$ 187.00,$ 146.40,$ 146.40,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,LPC,Psychotherapy Evaluation,90791,$ 220.00,$ 187.00,$ 146.40,$ 146.40,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MCC,Psychotherapy Evaluation,90791,$ 220.00,$ 187.00,$ 146.40,$ 146.40,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,BS,Psychotherapy Evaluation,90791,$ 220.00,$ 187.00,$ 146.40,$ 146.40,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MA,Psychotherapy Evaluation,90791,$ 220.00,$ 187.00,$ 146.40,$ 146.40,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MS,Psychotherapy Evaluation,90791,$ 220.00,$ 187.00,$ 146.40,$ 146.40,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,M.Ed,Psychotherapy Evaluation,90791,$ 220.00,$ 187.00,$ 146.40,$ 146.40,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MD/DO,Psychiatric Evaluation - Adult,90792,$ 595.00,$ 505.75,$ 364.00,$ 364.00,PFS ***,$ 364.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 364.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,CRNP,Psychiatric Evaluation - Adult,90792,$ 595.00,$ 505.75,$ 364.00,$ 364.00,PFS ***,$ 364.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 364.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MD/DO,Psychiatric Evaluation - Child,90792,$ 749.00,$ 636.65,$ 73.60,$ 73.60,PFS ***,$ 73.60,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 73.60,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,CRNP,Psychiatric Evaluation - Child,90792,$ 749.00,$ 636.65,$ 73.60,$ 73.60,PFS ***,$ 73.60,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 73.60,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,LCSW,"Psychotherapy, 30 min",90832,$ 102.00,$ 86.70,$ 73.60,$ 73.60,PFS ***,$ 73.60,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 73.60,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,LSW,"Psychotherapy, 30 min",90832,$ 102.00,$ 86.70,$ 73.60,$ 73.60,PFS ***,$ 73.60,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 73.60,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,LPC,"Psychotherapy, 30 min",90832,$ 102.00,$ 86.70,$ 73.60,$ 73.60,PFS ***,$ 73.60,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 73.60,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MCC,"Psychotherapy, 30 min",90832,$ 102.00,$ 86.70,$ 73.60,$ 73.60,PFS ***,$ 73.60,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 73.60,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,BS,"Psychotherapy, 30 min",90832,$ 102.00,$ 86.70,$ 73.60,$ 73.60,PFS ***,$ 73.60,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 73.60,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MA,"Psychotherapy, 30 min",90832,$ 102.00,$ 86.70,$ 73.60,$ 73.60,PFS ***,$ 73.60,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 73.60,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MS,"Psychotherapy, 30 min",90832,$ 102.00,$ 86.70,$ 174.40,$ 174.40,PFS ***,$ 174.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 174.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,M.Ed,"Psychotherapy, 30 min",90832,$ 102.00,$ 86.70,$ 174.40,$ 174.40,PFS ***,$ 174.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 174.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MD/DO,"Psychotherapy, 30 min",90833,$ 241.00,$ 204.85,$ 146.40,$ 146.40,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,CRNP,"Psychotherapy, 30 min",90833,$ 241.00,$ 204.85,$ 146.40,$ 146.40,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,LCSW,"Psychotherapy, 45 min",90834,$ 202.00,$ 171.70,$ 146.40,$ 146.40,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,LSW,"Psychotherapy, 45 min",90834,$ 202.00,$ 171.70,$ 146.40,$ 146.40,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,LPC,"Psychotherapy, 45 min",90834,$ 202.00,$ 171.70,$ 146.40,$ 146.40,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MCC,"Psychotherapy, 45 min",90834,$ 202.00,$ 171.70,$ 146.40,$ 146.40,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,BS,"Psychotherapy, 45 min",90834,$ 202.00,$ 171.70,$ 146.40,$ 146.40,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MA,"Psychotherapy, 45 min",90834,$ 202.00,$ 171.70,$ 146.40,$ 146.40,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MS,"Psychotherapy, 45 min",90834,$ 202.00,$ 171.70,$ 348.00,$ 348.00,PFS ***,$ 348.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 348.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,M.Ed,"Psychotherapy, 45 min",90834,$ 202.00,$ 171.70,$ 348.00,$ 348.00,PFS ***,$ 348.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 348.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MD/DO,"Psychotherapy, 45 min",90836,$ 480.00,$ 408.00,$ 220.00,$ 220.00,PFS ***,$ 220.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 220.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,CRNP,"Psychotherapy, 45 min",90836,$ 480.00,$ 408.00,$ 220.00,$ 220.00,PFS ***,$ 220.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 220.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,LCSW,"Psychotherapy, 60 min",90837,$ 303.00,$ 257.55,$ 220.00,$ 220.00,PFS ***,$ 220.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 220.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,LSW,"Psychotherapy, 60 min",90837,$ 303.00,$ 257.55,$ 220.00,$ 220.00,PFS ***,$ 220.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 220.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,LPC,"Psychotherapy, 60 min",90837,$ 303.00,$ 257.55,$ 220.00,$ 220.00,PFS ***,$ 220.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 220.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MCC,"Psychotherapy, 60 min",90837,$ 303.00,$ 257.55,$ 220.00,$ 220.00,PFS ***,$ 220.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 220.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,BS,"Psychotherapy, 60 min",90837,$ 303.00,$ 257.55,$ 220.00,$ 220.00,PFS ***,$ 220.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 220.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MA,"Psychotherapy, 60 min",90837,$ 303.00,$ 257.55,$ 220.00,$ 220.00,PFS ***,$ 220.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 220.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MS,"Psychotherapy, 60 min",90837,$ 303.00,$ 257.55,$ 348.00,$ 348.00,PFS ***,$ 348.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 348.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,M.Ed,"Psychotherapy, 60 min",90837,$ 303.00,$ 257.55,$ 348.00,$ 348.00,PFS ***,$ 348.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 348.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MD/DO,"Psychotherapy, 60 min",90838,$ 480.00,$ 408.00,$ 300.80,$ 300.80,PFS ***,$ 300.80,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 300.80,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,CRNP,"Psychotherapy, 60 min",90838,$ 480.00,$ 408.00,$ 65.60,$ 65.60,PFS ***,$ 65.60,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 65.60,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MD/DO,"Crisis Therapy Initial visit, 74 min",90839,$ 415.00,$ 352.75,$ 348.00,$ 348.00,PFS ***,$ 348.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 348.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MD/DO,"Crisis Therapy Initial visit, 16-45 min",90843,$ 90.00,$ 76.50,$ 146.40,$ 146.40,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,CRNP,"Psychotherapy, 60 min",90838,$ 480.00,$ 408.00,$ 146.40,$ 146.40,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,LCSW,"Family psychotherapy, not including patient, 50 min",90846,$ 202.00,$ 171.70,$ 146.40,$ 146.40,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,LSW,"Family psychotherapy, not including patient, 50 min",90846,$ 202.00,$ 171.70,$ 146.40,$ 146.40,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,LPC,"Family psychotherapy, not including patient, 50 min",90846,$ 202.00,$ 171.70,$ 146.40,$ 146.40,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MCC,"Family psychotherapy, not including patient, 50 min",90846,$ 202.00,$ 171.70,$ 146.40,$ 146.40,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,BS,"Family psychotherapy, not including patient, 50 min",90846,$ 202.00,$ 171.70,$ 146.40,$ 146.40,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MA,"Family psychotherapy, not including patient, 50 min",90846,$ 202.00,$ 171.70,$ 146.40,$ 146.40,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MS,"Family psychotherapy, not including patient, 50 min",90846,$ 202.00,$ 171.70,$ 345.60,$ 345.60,PFS ***,$ 345.60,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 345.60,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,M.Ed,"Family psychotherapy, not including patient, 50 min",90846,$ 202.00,$ 171.70,$ 199.20,$ 199.20,PFS ***,$ 199.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 199.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MD/DO,"Family psychotherapy, including physician and patient, 50
min",90847,$ 476.00,$ 404.60,$ 199.20,$ 199.20,PFS ***,$ 199.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 199.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,CRNP,"Family psychotherapy, including physician and patient, 50 min",90847,$ 274.00,$ 232.90,$ 199.20,$ 199.20,PFS ***,$ 199.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 199.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,LCSW,"Family psychotherapy, including patient, 50 min",90847,$ 274.00,$ 232.90,$ 199.20,$ 199.20,PFS ***,$ 199.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 199.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,LSW,"Family psychotherapy, including patient, 50 min",90847,$ 274.00,$ 232.90,$ 199.20,$ 199.20,PFS ***,$ 199.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 199.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,LPC,"Family psychotherapy, including patient, 50 min",90847,$ 274.00,$ 232.90,$ 199.20,$ 199.20,PFS ***,$ 199.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 199.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MCC,"Family psychotherapy, including patient, 50 min",90847,$ 274.00,$ 232.90,$ 199.20,$ 199.20,PFS ***,$ 199.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 199.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,BS,"Family psychotherapy, including patient, 50 min",90847,$ 274.00,$ 232.90,$ 199.20,$ 199.20,PFS ***,$ 199.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 199.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MA,"Family psychotherapy, including patient, 50 min",90847,$ 274.00,$ 232.90,$ 199.20,$ 199.20,PFS ***,$ 199.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 199.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MS,"Family psychotherapy, including patient, 50 min",90847,$ 274.00,$ 232.90,$ 112.00,$ 112.00,PFS ***,$ 112.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 112.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,M.Ed,"Family psychotherapy, including patient, 50 min",90847,$ 274.00,$ 232.90,$ 112.00,$ 112.00,PFS ***,$ 112.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 112.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,LCSW,Group psychotherapy 1.5 hours,90853,$ 154.00,$ 130.90,$ 112.00,$ 112.00,PFS ***,$ 112.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 112.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,LSW,Group psychotherapy 1.5 hours,90853,$ 154.00,$ 130.90,$ 112.00,$ 112.00,PFS ***,$ 112.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 112.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,LPC,Group psychotherapy 1.5 hours,90853,$ 154.00,$ 130.90,$ 112.00,$ 112.00,PFS ***,$ 112.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 112.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MCC,Group psychotherapy 1.5 hours,90853,$ 154.00,$ 130.90,$ 112.00,$ 112.00,PFS ***,$ 112.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 112.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,BS,Group psychotherapy 1.5 hours,90853,$ 154.00,$ 130.90,$ 112.00,$ 112.00,PFS ***,$ 112.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 112.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MA,Group psychotherapy 1.5 hours,90853,$ 154.00,$ 130.90,$ 112.00,$ 112.00,PFS ***,$ 112.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 112.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MS,Group psychotherapy 1.5 hours,90853,$ 154.00,$ 130.90,$ 61.60,$ 61.60,PFS ***,$ 61.60,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 61.60,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,M.Ed,Group psychotherapy 1.5 hours,90853,$ 154.00,$ 130.90,$ 76.00,$ 76.00,PFS ***,$ 76.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 76.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,RN/LPN,Clozapine Support Group Therapy,90853,$ 85.00,$ 72.25,$ 76.00,$ 76.00,PFS ***,$ 76.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 76.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,LCSW,Intensive Oupatient Group Psychotherapy 1 hr,90853,$ 105.00,$ 89.25,$ 76.00,$ 76.00,PFS ***,$ 76.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 76.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,LSW,Intensive Oupatient Group Psychotherapy 1 hr,90853,$ 105.00,$ 89.25,$ 76.00,$ 76.00,PFS ***,$ 76.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 76.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,LPC,Intensive Oupatient Group Psychotherapy 1 hr,90853,$ 105.00,$ 89.25,$ 76.00,$ 76.00,PFS ***,$ 76.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 76.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MCC,Intensive Oupatient Group Psychotherapy 1 hr,90853,$ 105.00,$ 89.25,$ 76.00,$ 76.00,PFS ***,$ 76.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 76.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,BS,Intensive Oupatient Group Psychotherapy 1 hr,90853,$ 105.00,$ 89.25,$ 76.00,$ 76.00,PFS ***,$ 76.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 76.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MA,Intensive Oupatient Group Psychotherapy 1 hr,90853,$ 105.00,$ 89.25,$ 76.00,$ 76.00,PFS ***,$ 76.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 76.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MS,Intensive Oupatient Group Psychotherapy 1 hr,90853,$ 105.00,$ 89.25,$ 131.20,$ 131.20,PFS ***,$ 131.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 131.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,M.Ed,Intensive Oupatient Group Psychotherapy 1 hr,90853,$ 105.00,$ 89.25,$ 131.20,$ 131.20,PFS ***,$ 131.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 131.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MD/DO,"New patient office or other outpateint visit, typically 10 min",99201,$ 180.00,$ 153.00,$ 156.00,$ 156.00,PFS ***,$ 156.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 156.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,CRNP,"New patient office or other outpateint visit, typically 10 min",99201,$ 180.00,$ 153.00,$ 156.00,$ 156.00,PFS ***,$ 156.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 156.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MD/DO,"New patient office or other outpateint visit, typically 20 min",99202,$ 215.00,$ 182.75,$ 181.60,$ 181.60,PFS ***,$ 181.60,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 181.60,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,CRNP,"New patient office or other outpateint visit, typically 20 min",99202,$ 215.00,$ 182.75,$ 181.60,$ 181.60,PFS ***,$ 181.60,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 181.60,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MD/DO,"New patient office or other outpateint visit, typically 30 min",99203,$ 251.00,$ 213.35,$ 206.40,$ 206.40,PFS ***,$ 206.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 206.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,CRNP,"New patient office or other outpateint visit, typically 30 min",99203,$ 251.00,$ 213.35,$ 206.40,$ 206.40,PFS ***,$ 206.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 206.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MD/DO,"New patient office or other outpateint visit, typically 45 min",99204,$ 284.00,$ 241.40,$ 240.00,$ 240.00,PFS ***,$ 240.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 240.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,CRNP,"New patient office or other outpateint visit, typically 45 min",99204,$ 284.00,$ 241.40,$ 240.00,$ 240.00,PFS ***,$ 240.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 240.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MD/DO,"New patient office or other outpateint visit, typically 60 min",99205,$ 331.00,$ 281.35,$ 122.40,$ 122.40,PFS ***,$ 122.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 122.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,CRNP,"New patient office or other outpateint visit, typically 60 min",99205,$ 331.00,$ 281.35,$ 122.40,$ 122.40,PFS ***,$ 122.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 122.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MD/DO,"Est. patient office or other outpateint visit, typically 10 min",99211,$ 169.00,$ 143.65,$ 139.20,$ 139.20,PFS ***,$ 139.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 139.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,CRNP,"Est. patient office or other outpateint visit, typically 10 min",99211,$ 169.00,$ 143.65,$ 139.20,$ 139.20,PFS ***,$ 139.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 139.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MD/DO,"Est. patient office or other outpateint visit, typically 20 min",99212,$ 192.00,$ 163.20,$ 156.00,$ 156.00,PFS ***,$ 156.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 156.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,CRNP,"Est. patient office or other outpateint visit, typically 20 min",99212,$ 192.00,$ 163.20,$ 156.00,$ 156.00,PFS ***,$ 156.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 156.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MD/DO,"Est. patient office or other outpateint visit, typically 30 min",99213,$ 215.00,$ 182.75,$ 172.80,$ 172.80,PFS ***,$ 172.80,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 172.80,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,CRNP,"Est. patient office or other outpateint visit, typically 30 min",99213,$ 215.00,$ 182.75,$ 172.80,$ 172.80,PFS ***,$ 172.80,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 172.80,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MD/DO,"Est. patient office or other outpateint visit, typically 45 min",99214,$ 238.00,$ 202.30,$ 206.40,$ 206.40,PFS ***,$ 206.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 206.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,CRNP,"Est. patient office or other outpateint visit, typically 45 mi",99214,$ 238.00,$ 202.30,$ 206.40,$ 206.40,PFS ***,$ 206.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 206.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MD/DO,"Est. patient office or other outpateint visit, typically 60 min",99215,$ 284.00,$ 241.40,$ 39.20,$ 39.20,PFS ***,$ 39.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 39.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,CRNP,"Est. patient office or other outpateint visit, typically 60 min",99215,$ 284.00,$ 241.40,$ 212.80,$ 212.80,PFS ***,$ 212.80,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 212.80,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,RN/LPN,Psychiatric Clinic Nursing Visit,99211,$ 55.00,$ 46.75,$ 63.20,$ 63.20,PFS ***,$ 63.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 63.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
Location,Type,Provider,Service Description,CPT_HCPCS,Standard Charge,Cash-Pay,Min Negotiated,Max Negotiated,AETNA,CAPITAL BLUE CROSS,CCBH,DAUPHIN COUNTY,GATEWAY,GEISINGER,HIGHMARK,HIGHMARK MEDICARE,MAGELLAN,MEDICARE,MEDICAID,MHNET,NPPN,PERFORMCARE,PPHN,QUEST,THREE RIVERS NETWORK,TRICARE,UNITED BEHAVIORAL HEALTH,UNITY,UPMC,VETERANS ADMINISTRATION
PPI Third Street,Outpatient,M.Ed,Psychological Testing 1 hr,96101,$ 293.00,$ 249.05,$ 63.20,$ 63.20,PFS ***,$ 63.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 63.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,LCSW,Psychological Testing Qualified Health Professional 1 hr,96102,$ 87.00,$ 73.95,$ 63.20,$ 63.20,PFS ***,$ 63.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 63.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,LSW,Psychological Testing Qualified Health Professional 1 hr,96102,$ 87.00,$ 73.95,$ 63.20,$ 63.20,PFS ***,$ 63.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 63.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,LPC,Psychological Testing Qualified Health Professional 1 hr,96102,$ 87.00,$ 73.95,$ 63.20,$ 63.20,PFS ***,$ 63.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 63.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MCC,Psychological Testing Qualified Health Professional 1 hr,96102,$ 87.00,$ 73.95,$ 63.20,$ 63.20,PFS ***,$ 63.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 63.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,BS,Psychological Testing Qualified Health Professional 1 hr,96102,$ 87.00,$ 73.95,$ 63.20,$ 63.20,PFS ***,$ 63.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 63.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MA,Psychological Testing Qualified Health Professional 1 hr,96102,$ 87.00,$ 73.95,$ 63.20,$ 63.20,PFS ***,$ 63.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 63.20,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,MS,Psychological Testing Qualified Health Professional 1 hr,96102,$ 87.00,$ 73.95,$ 73.95,$ 87.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,M.Ed,Psychological Testing Qualified Health Professional 1 hr,96102,$ 87.00,$ 73.95,$ 73.95,$ 87.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,RN/LPN,Therapeutic Injection,96372,$ 32.00,$ 27.20,$ 27.20,$ 32.00,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***
PPI Third Street,Outpatient,RN/LPN,Therapeutic Injection,96372,$ 32.00,$ 27.20,$ 27.20,$ 32.00,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,MD/DO,Cognitive Assessment and Care Plan Services,99483,$ 420.00,$ 357.00,$ 357.00,$ 420.00,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"Patient office consultation, typically 40 min",99243,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"Patient office consultation, typically 60 min",99244,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"Initial new patient preventive medicine evaluation (18-39
years)",99385,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"Initial new patient preventive medicine evaluation (40-64
years)",99386,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Basic metabolic panel,80048,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"Blood test, comprehensive group of blood chemicals",80053,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Obstetric blook test panel,80055,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"Blood test, lipids (cholesterol and triglycerides)",80061,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Kidney function panel test,80069,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Liver function blood test panel,80076,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Manual urinalysis test with examination using microscope,81000 or 81001,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Automated urinalysis test,81002 or 81003,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,PSA (prostate specific antigen),84153-84154,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"Blood test, thyroid stimulating hormone (TSH)",84443,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"Complete blood cell count, with differential while blook cells, automated",85025,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"Complete blood cound, automated",85027,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"Blood test, clotting time",85610,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Coagulatoin assessment blood test,85730,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"CT scan, head or brain, without contrast",70450,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,MRI scan of brain before and after contrast,70553,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"X-Ray, lower back minimum four views",72110,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,MRI scan of lower spinal canal,72148,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"CT scan, pelvis, with contrast",72193,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,MRI scan of leg joint,73721,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,CT scan of abdomen and pelvis with contrast,74177,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Ultrasound of abdomen,76700,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Abdominal ultrasound of pregnant uterus (greater or equal to 14 weeks 0 days) single or first fetus,76805,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Ultrasound pelvis through vagina,76830,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Mammography of one breast,77065,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Mammography of both preasts,77066,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"Mammography, screening bilateral",77067,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Cardiac value and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Spinal fusion except vervical without major comorbid conditions or complications (MCC),460,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"Major joint replacement or reattachment of lower
extremity without major comorbid conditions or complications (MCC)",470,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"Cerfical spingal fusion without comorbid conditions (CC) or
major comorbid conditions or complications (MCC)",473,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"Uterine and adnexa procedures for non-malignancy without
comorbid conditions (CC) or major comorbid conditions or complications (MCC)",743,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"Removal of 1 or more breast growth, open procedure",19120,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Shaving of shoulder bone using a endoscope,19826,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Removal of one knee cartilage using an endoscope,29881,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"removal of tonsils and adenoid glands patient younger than
age 12",42820,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"Biopsy of the esophagus, stomach, and/or upper bowel using an endoscope",43239,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Diagnostic examinatoin of large bowel using an endoscope,45378,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Biopsy of large bowel using an endoscope,45380,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"Removal of polyps or growths of large bowel using an
endoscope",45385,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"Ultrasound examination of lower large bowel using an
endoscope",45391,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Removal of gallbladder using an endoscope,47562,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Repair of groin hernia pateint age 5 years or older,49505,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Biopsy of prostate gland,55700,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"Routine obstetric care for vaginal delivery, including pre-and post-deliver care",59400,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"Routine obstetric care for cesarean delivery, including pre-
and-post-deliver care",59510,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"Routine obstetric care for vaginal delivery after prior
cesarean deliver including pre-and-post -delivery care",59610,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Injection of substance into spinal canal of lower back or sacrum using imaging guidances,62333-62323,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Injections of anesthetic and/or steriod drug into lower or sacral spine nerve root using imaging guidance,64483,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Removal of recurring cataract in lens capsule using laser,66821,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Removal of cataract with insertion of lens,66984,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,"Electrocardiogram, routine with interpretation and report",93000,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Insertion of catheter into left heart for diagnosis,93452,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *,N/A *
PPI Third Street,Outpatient,N/A *,Sleep study,95810,N/A *,N/A *,$ 27.59,$ 282.40,$ 210.00,$ 257.00,$ 72.00,NC **,$ 27.59,$ 275.00,$ 258.00,$ 258.00,PFS ***,$ 27.59,$ 28.00,$ 275.00,$ 185.00,$ 132.65,NC **,$ 120.00,$ 282.40,$ 27.59,$ 185.00,NC **,$ 120.00,$ 27.59
PPI Third Street,Outpatient,N/A *,"Physical therapy, therapeutic exercise",97110,N/A *,N/A *,$ 146.40,$ 146.40,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***,$ 146.40,PFS ***,PFS ***,PFS ***,PFS ***,PFS ***